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Brewed Imagination
(formerly Play Cafe)- Play Waiver

Brewed Imagination (formerly The Play Cafe) Participation Waiver, Release of Liability, and Assumption of Risk Agreement

In consideration of being allowed to enter the play area and/or participate in any party or program at Brewed Imagination, the undersigned (on their own behalf or on behalf of a minor child) acknowledges, appreciates, and agrees to the following conditions:

1. Parental/Guardian Acknowledgment and Responsibilities

I represent that I am the parent or legal guardian of the participant(s) named in this agreement or that I have obtained the necessary permission from the parent or legal guardian of the participant(s) named. I agree to comply with all stated and customary terms, posted safety signs, rules, and verbal instructions and conditions for participation in Brewed Imagination programs. I understand that if I observe any hazard or concern during participation, I will notify the nearest Brewed Imagination employee immediately. I accept full responsibility for the safety and behavior of the participant(s) named during each visit.

2. Assumption of Inherent Risks

I understand that participation in Brewed Imagination activities involves inherent risks, including, but not limited to, those arising from the negligence of other participants, equipment, or facility use. I voluntarily assume all such risks, both known and unknown, for myself and the participant(s) named.

3. Release and Waiver of Liability

On behalf of myself and the participant(s) named, I release and hold harmless Brewed Imagination, its management, owners, affiliates, officers, members, employees, agents, volunteers, other participants, and sponsoring agencies from any and all claims, injuries, liabilities, or damages arising out of or related to participation in any Brewed Imagination activities, programs, events, or the use of the play area.

4. Adherence to Brewed Imagination Rules

I, for myself and the participant(s) named, agree to follow all posted rules, including but not limited to:

  • Wearing socks inside the play area.
  • Ensuring only children within the permitted age range (18 months and under) enter the designated baby area.
  • Refraining from running, throwing, or misusing toys in any way.
  • Children will be supervised at all times.
  • Agree to all posted rules on the premise.

I understand that no food or drink is allowed in the play area. I also understand that children must be well and free of any communicable or contagious illness to participate. Brewed Imagination reserves the right to deny service or entry to any child or adult who appears ill, and may request a doctor’s note for re-entry.

5. Media Release

I grant Brewed Imagination, its agents, and employees the irrevocable right to photograph and/or video myself or the participant(s) named. These images may be used for publication, promotion, illustration, advertising, or trade, in any medium. I release Brewed Imagination, and its representatives, from any claims and liability related to the use of such media. I also permit Brewed Imagination to use any statements made by me or the participant(s) named in connection with such images, with or without identifying information, and waive any right to compensation.

6. Durations of Waiver: This waiver shall remain in effect for a period of one (1) year from the date of execution.

I understand that this waiver will be in place during my visits throughout the year. Each year, I will be required to sign and update a new waiver. But at any time, if my information or the number of children has changed, I will be required to update a new waiver

Assumption of the Risk and Waiver of Liability Relating to Coronavirus / COVID-19

COVID-19 was declared a worldwide pandemic and is highly contagious, spreading mainly from person-to-person contact. Local, state, and federal health agencies recommend social distancing and other preventive measures to reduce the spread of COVID-19. While Brewed Imagination has implemented preventive measures, it cannot guarantee that you or your child(ren) will not become infected with COVID-19. Attending Brewed Imagination could increase the risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and the participant(s) named and I may be exposed to or infected by COVID-19 by attending Brewed Imagination activities, and that such exposure may result in personal injury, illness, disability, permanent disability, or death. I accept full responsibility for any resulting costs, claims, or liabilities, including but not limited to medical expenses, loss, damage, and any legal claims arising from exposure to COVID-19.

I voluntarily waive and release any and all claims against Brewed Imagination, its employees, agents, and representatives for any liability or damages, including but not limited to illness, disability, or death, that may result from participation in Brewed Imagination activities, whether caused by negligence or otherwise. This waiver applies even if a COVID-19 infection occurs before, during, or after participation in Brewed Imagination programming.

By submitting this form, I acknowledge and agree to all terms stated in this agreement. I understand that by signing electronically, my signature has the same legal effect as a handwritten signature.

First Participant's Name
First Name*
Last Name*
Phone*
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Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Select Gender
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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